급성내경동맥폐쇄로 인한 제3뇌신경 불완전마비를 동반한 안동맥폐쇄

• 영문명: Ophthalmic Artery Occlusion With Third Cranial Nerve Paresis Associated With Acute Internal Carotid Artery Occlusion
• 발행기관: 대한안과학회
• 저자명: 안재환 이슬기 김현웅,Jae Hwan Ahn, MD, Sul Gee Lee, MD, Hyun Woong Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number4, 624~629쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.04.30

영문 초록

Purpose: We report a case of ophthalmic artery occlusion with third nerve paresis in the left eye due to acute occlusion of the left ICA. Case summary: A 37-year-old man visited our emergency room with “black out” in the left eye, headache, and nausea. The corrected visual acuity was 20/25 in the right eye, and hand motion in the left eye. In the left eye, a relative afferent papillary defect was noted, with an intraocular pressure of six mmHg. Twenty prisms of exotropia in the primary position was observed, and ocular motor examination revealed limitations of supraduction, infraduction, and adduction in the left eye, suggesting third nerve palsy of the left eye. Fundus examination revealed a pale retina in the macula of the left eye. Brain MRI demonstrated multifocal faint low densities in the left caudate nucleus as well as the frontal and parietal lobes. CT angiography and four-vessel angiography demonstrated complete occlusion in the proximal part of the left internal carotid artery ICA. After five months the corrected visual acuity of the left eye improved to 20/200. The 20 prism diopters of exotropia persisted, and ocular motor examination revealed only a mild limitation of adduction in the left eye. J Korean Ophthalmol Soc 2009;50(4):624-629

키워드

ICA occlusion, Ophthalmic artery occlusion, Third nerve paresis